NABP NAPLEX Exam - Topic 3 Question 89 Discussion

Actual exam question for NABP's NAPLEX exam

Question #: 89
Topic #: 3

Your patient is a 43-year-old male who is experiencing post-operative voiding difficulty after an elective inguinal hernia repair. His post void residual volume was 280 cc.

Which of the following medications is the most appropriate choice of therapy for this patient?

ABethanechol

BOxybutynin

CPhenylephrine

DFinasteride

EImipramine

Show Suggested Answer

Suggested Answer: E

Cefazolin or an antistaphylococcal penicillin (oxacillin or nafcillin) is recommended for this patient because the C&S results indicate MSSA. Since the patient develops a rash to penicillins, it would be acceptable to use cefazolin in this case.

https://academic.oup.com/cid/article/59/2/e10/2895845/Practice-Guidelines-for-the-Diagnosis-and

by Winifred at Aug 22, 2024, 07:47 PM

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Evangelina

6 months ago

280 cc residual? Wow, that's a lot!

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Deane

6 months ago

Finasteride? That seems off for voiding issues.

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Sheridan

6 months ago

Really? I thought oxybutynin was more common for this.

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Clay

7 months ago

Totally agree, it's the best choice here!

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Lamonica

7 months ago

Bethanechol is usually the go-to for post-op urinary retention.

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Mauricio

7 months ago

I vaguely recall that Finasteride is used for BPH, but I'm not confident about its role in post-operative cases. Would it even help?

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Marg

7 months ago

I practiced a similar question where we had to choose a medication for urinary retention, and I think it was also Bethanechol. It makes sense here too, right?

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Brinda

7 months ago

I'm not entirely sure, but I feel like Oxybutynin is more for overactive bladder, not retention. Maybe I should double-check that.

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Blondell

8 months ago

I remember discussing post-operative urinary retention in class, and I think Bethanechol might be the right choice since it stimulates bladder contraction.

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Billy

8 months ago

I'm leaning towards Imipramine. It has anticholinergic effects that could help with the voiding difficulty, but I'll need to double-check that.

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Lezlie

8 months ago

Bethanechol seems like the best choice here. It's a cholinergic agent that can help stimulate bladder contraction and improve voiding.

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Felton

8 months ago

I'm a little unsure about this one. I know the patient had a high post-void residual, but I'm not sure which medication would be the most appropriate.

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Alex

8 months ago

Okay, I've got this. The key is to choose a medication that will help with the post-op voiding difficulty, so I'm going to focus on that.

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Jeanice

8 months ago

Hmm, this one seems tricky. I'll need to think through the post-op voiding issue and the medication options carefully.

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Loreen

8 months ago

Okay, let me think this through. The question is asking about the DNS record type that specifies an alias, and based on that, I believe the correct answer is CNAME. I'm feeling pretty confident about that.

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Aide

1 year ago

Oh man, this is a real bladder-buster! I'm gonna have to go with D) Finasteride. It's got that 'fin' in the name, so it must be the right choice, right? *wink wink*

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Margot

1 year ago

This is a tough one, but I think the answer is E) Imipramine. It's a tricyclic antidepressant that can also help with urinary retention. Gotta love those multi-purpose drugs!

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